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Managing thoughts of suicide & self-harm

TW: The 'real' me inside - I come with an SI warning

TW: The 'real' me inside - I come with an SI warning

I figure it's better to introduce my challenges here than in a welcome. Hopefully only people willing to hear about SI will venture here.

TW: Suicidal Ideation

Content/trigger warning

I've had thoughts of suicide since I was 12. I don't remember much of life before this time. I'm aware there are times that I haven't though as much about suicide as others, but it's always been a "yes please, that would be my preference" even during the better times.

Why am I still alive then? For two reasons:

- the emotional pain it would cause to very close family.

- the physical pain of accessible methods, and the risks of non-fatal attempts causing lifelong physical impairments.

How do I keep myself going all these years?

By focusing on how I can benefit other people's lives instead. If I'm going to put up with life, it may as well be beneficial to someone.

And to help me keep life less monotonous I look for 'interesting' things - quirky people, exploring foreign countries/cultures, trying new foods (even if i dont think I'll like them). I've never been a status-quo person.

I explain to MH supports that when life is not distressing I can carry on without seriously considering suicide as a possible option. I can say "hello there thought, I hear you but I have chosen not to act on it, things are OK". But when something sets things off kilter, its a pretty quick track back to "why am I still doing this? Do I really still have the same commitment to living? And why, for whom? Why can't I be permitted to die if that's what I want for myself?"

With decades of this under my belt, I have the ability to sit with feelings of extreme distress. And the courage to text or call someone if I need to - and I'm getting a little better at doing this *before* it gets too extreme, but I still hesitate because I don't want to burden others and the frequency of it happening during those unbalanced times is too often. I've persuaded myself a few times recently to instead call a crisis line, but waiting 30-45min in a queue can sometimes exacerbate the thoughts, and sometimes the calls might help dissipate the feelings (if i called early enough) but other times I feel worse after because of course they're going to try to give some positive outlook for the future, but it grates on me because deep down I dont want a future at all. Its actually refreshing when someone acknowledges that not liking/wanting life is OK - and instead just tries to look at how to rebalance the scales to help me cope with continuing to live despite not wanting to.

I'm not sure how un/common my way of thinking is. So much about suicide prevention is focused on short-term distress tolerance or "fixable" problems (eg situations).

What do I need from the community here...?

To be heard? To know if anyone else out there has a long enduring preference to die even when they aren't feeling active distress? And if so, has anything helped them longterm to shift that thinking?

If anyone knows of any practitioners who *specialise* in chronic SI since a young age, I'd really love to know who (if there is a way someone is allowed to??). I've tried Google searching and using online psych directories and reading bio's. I've seen many psychologists and psychiatrists in the past who haven't been able to help me shift this (even if theyve helped in other ways).

I do wonder if my neural networks for positive emotional may not have fully developed or may have atrophied due to the young age and length of time. I genuinely do not know what being happy feels like, I do not have any memory that I recall as being "happy" or joy, and I suspect this makes recovery much harder.

Im ok at the moment. Im safe. But it is exhausting.

Apologies this post is quite a bit too long.

1604 replies

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In response to: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

Good afternoon, lovely! @AlwaysMyself

Firstly, that is an amazing display of self-awareness and self-regulation.

Secondly, I understand what it feels like to almost pre-grieve when you know where something is heading... it's still tough though, so, big hugs. 💛

Gosh, that would be frustrating... it sounds like you are absolutely handling this with grace and maturity, I really commend you.

You are very aware of what he needs, but I am curious to know what you need from him right now?

And we can definitely help with this. ☺️

Also, I get that. It can be so tough to know what is best for us when it comes to medication, increasing, or decreasing... I think having a strong support system and someone you trust professionally is important. Please let me know how it goes with your GP.

Ah, thank you!! It's a big relief. Umm... this is my first subject. 😅

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

I have long ago stopped *needing* anything from him, @AuntGlow , other than I suppose basic communication for coordinating the dog care and his portion of the financial support for the dog expenses. When I was going to a crisis support 'safe haven' earlier this year (whilst still living together) i did not even tell him where i was going. When i returned and he asked if i had a nice coffee out i did reply that i went to the safe haven, not coffee. He acknowledged but nothing further. That became his level of "support" over the past 2 years (it didnt use to be that poor). Its the only time ive been there too, not like it was "common" or anything.

However i keep expectations on his communication low, so that i am less disappointed. Last week he was irritable with me because I didnt know that he had a weekly dinner that he dropped the dogs to me before (rather than after dinner). This week the dogs didnt arrive back home at that time, so i messaged him to ask what time and he had forgotten to tell me it would be late because he didnt have dinner out that night. :face_with_rolling_eyes:. This is typical "damned either way" communication. If i ask, i get my head bitten off verbally for it. But if i dont ask, he doesnt tell me changes to plans. 😏. Ive come to accept that is "him" and his family are similar with their comms too, so he hasnt had role models for it growing up.

Wow! Just starting this degree! 😁 hopefully that means it feels new and exciting still??

I bet your previous degree/studies as well as your experience with peer working will make the degree studies a lot easier and more relatable than someone who has only studied by never worked in the field or have lived experience. I certainly found that with my business degree - having worked in corporate and small business made it much easier to relate to what i'd experienced and thus remember. 🥰

In response to: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@AlwaysMyself Hello my friend how are you? How did your operation go and are you feeling better after it?

From what I understand you really are doing all the hard work towards your ex partner. You’ve shown a lot of consideration for how he feels even when recurring issues have come up during the relationship. It’s exactly what he too should have been doing for you. It upsets me because you deserve a partner who has the same type of approach, love and consideration. I’m really sorry you are going through this right now. It’s very unfair.

I can understand having done a lot of grieving when he first moved out. I know it still hurts and so many emotions are felt and all are valid and a part of healing. I’d feel angry having to sort out his things too and absolutely make sure he takes everyrhing so he can sort it out. It’s not your job at all to have to get rid of anything he might not want. The only good thing is you can do it at your own pace and give him things during fur babies pick up and drop off.

In relation to tapering it is advisable to go slowly. That truly is the best science we have. It’s hard to say how good or bad withdrawals will be as it depends on factors like which drug/s, dose, how long you’ve been on them and each person’s body responds differently. My experience has been horrific but not everyone has the same experience. Having a decent support system really helps too.

That’s awful you’ve put in application for your sign language assessment! When will that be? You could even consider that as a future job. Pays well and we don’t have enough interpreters.

I am really hoping that the time off work will reduce burnout and will give you the space to heal plus to taper and get into the clinical trial. How are you feeling now about taking time off?

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

Hey @Cuddlebear lovely to hear from you. I have been wondering how you are, but also not wanting to post and tag you in case you would feel pressure to respond when you're not feeling up to it.

Procedure went well. They've taken some biopsies, so hopefully dr will have the results when i see him in a few weeks. I guess it is good news that it doesnt look like i have any stomach/throat damage from my reflux condition or the medication that caused it. That is reassuring. The other end was also nothing concerning, only a handful of small polyps - but not the nasty kind that my cousins have. Won't have to have another one for 5 years thankfully.

The assessment is completed - it was online with uploading self-recorded videos and watching videos and answering questions.

I won't/can't be an interpreter because sometimes i have auditory processing problems which can make comprehending what is said in English difficult. I think this is part of why i find Auslan easier. Certainly was much easier to remember than any spoken language I have learned (and i have been considered good at learning spoken languages too).

But i can informally help friends with interpreting at social occasions - they won't mind if i had a bad brain moment and miss a bit.

Just had a call with NDIS LAC. A HR person at work also suggested it could be worth me looking at NDIS (I've had a few health professionals also ask me). But as feared, the LAC said it is very hard to get it for MH or chronic fatigue both because of prooving "permanent" condition and also "tried all other options". I haven't tried ECT because I don't like the idea of it and the common side effects of memory impairment, etc -- could make me even less capable of work. And i had such a bad reaction to the TMS brain stimulation last year. But they could easily use that as a reason to decline an application i think. Also how does one show they have tried everuthing for treating chronic fatgiue when they dont even know the cause?? And alternative therapies that *might* help are so expensive ongoing they are unaffordable. I am already beginning to struggle financially whilst still on a parttime income. My rent had doubled with my now-ex moving out. I've been paying for more health services this year to help me manage my pain and MH and that has been costing me about $400/wk (hopefully the chiro bill may lessen - i find out next week), plus i am paying about $150/wk on a cleaner an dog walker. Plus any time i see the GP i have to pay $50-200 out of pocket - hence i rarely go.

The idea of applying for NDIS and getting told i am ineligible is so painful, because I cannot afford to live if i don't have my current 3/day income at an IT professional rate. I am very blessed to have a high hourly wage, i dont take it for granted. If i were knocked back for funding i fear it wpuld push me over the edge of the decision on living because of the inability to afford medical and related supports. But of course i cant say that in an application, and its not a criteria for eligibility lol.

@AuntGlow any thoughts?

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

Hi @AlwaysMyself I thought I'd come over here to see how you were going today. I skim read some of the more recent posts as I haven't been on this thread for a while.

I hope you were able to get some rest last night.

I'm just quickly posting in between things this morning. I will try to check in again later

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

Thanks @Till23 .no pressure on ypu to respond, or timeframes. Hope your sport training went well today - i saw you had to get up very early for training!

It was the NDIS discussion with LAC yesterday that tipped me over into feeling hopeless for future financial situations re: affording supports. They were empathetic and honest (which i appreciate a lot) about the significant challenges to having conditions assessed as "permanent" and "exhausting all other options" for chronic fatigue.

I read a few recent study papers re: ECT this morning that conclude that there isn't reliable evidence that ECT is effective post-treatment (very small percentages only if deemed statistically significant) and that the adverse effects of the treatment are substantial and can outweigh the benefits, and that if it were submitted for approval in current days' TGA it would not pass. This is exactly the type of risks of ECT that make me not want to look at that option, esp as it would likely accentuate my chronic fatigue (a very common reaction is increased fatigue). One of my concerns is that NDIS would reject any application that included depression if ECT was not trialed first - but this type of research study does support that it could quite likely make my existing fatigue more debilitating (which is the condition i would mainly be seeking home-helps for because it limits me the most physically).

I have no idea what treatments for Chronic Fatigue NDIS assessors would expect to be trialled. Up until covid many doctors didnt even believe in it as a real diagnosis! I have done blood tests and scans to rule out other conditions causing fatigue, I have tried herbal/supplements, i have remedial massage for pain but doesnt help actual fatigue, i try to maintain my MH as best i can so it doesnt accentuate fatigue, i have tried gentle regular exercise (makes fatigue worse not better, but aqua-aerobics can help with my chronic pain so that is a delicate balance but also costs $$ for pool and/or classes). If the government would pay for accupuncture i'd be willing to trial that - but of course they won't fund that. Im honestly not sure what else is suggested for CFS because my doctors have never suggested anything - all my knowledge on treatments is from others i know who have CFS/FM/ME or know someone with it.

I got a few hours sleep. Feeling less emotional today (chatting to you and @Chasingsunsets helped that), but still just as bleak about the reality of how to afford even my existing supports longterm unless my fatigue or anhedonia dramatically improves.

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

Hey @AlwaysMyself, popping by for a check in 😊🙏

I am glad you a feeling a bit better this morning. What’s on for you today? How are the dogos going? Give them a give hug from Indi and I 😊

When it’s the right time for you I am wondering what you thought about our chats last night, the GP situation and possibility of a new one and getting curious to see/feel if the meds are serving you and working how you would like them too?


unfortunately I do not know about NDIS, funding etc but I know a lot of people on the forum have experiences with NDIS. Maybe @Till23 may know more 🙏

Thanks so much for trusting me, to invite me on your thread page it means a lot. I have had a read of the post you linked me too. I have a pretty long shift coming up today but I’d like to reflect and respond when I have a good amount of time 🙏, I will say you are not aren’t alone in the thoughts you are having as I have felt exactly what you have mentioned.

I felt saddened though that one of my friends is feeling that way and want you to know I’ll be around forum so tag me at any time. I have said it before you have been and I’ll say it again, you are amazing on the forum with all the support you give and all the very thoughtful posts you write to others. People like you are gold on the forum, and in life so want to recognise and observe your worth and impacts on people around you as-well, including myself and what you have done for me 💜

Let’s work on this and continue to explore what’s happening for you, you got this 🫶

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@Chasingsunsets thanks mate. About to see my counsellor in a few mins. If not feeling good after i will consider heading to my region's 'safe haven' centre. Thoughts have been getting worse again since getting up this morning. Did some figure painting though earlier but didnt help distract much even with tv on also.

I'll touch base again later. Hope your shift goes well and not too tiring.

I know i am a good and helpful person. And i like who i am. And i can agree with the memes that say "the world is better off with you in it". But that isnt enough for me any more. All that is to the benefit of others, not to my own benefit or relief.

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

@AlwaysMyself Hello my friend. How are you? I know you are not feeling well having just read your most recent post. I hope the counselling appointment goes well. I am here and I care very much about how you are feeling right now. Please reach out here tag me. I know it’s not the same as F2F but I am here online for you and you do not have get through this alone. We will make it through the day together and every other day. Please do not give up. I love you and really care about you.

In response to: Re: TW: The 'real' me inside - I come with an SI warning

Re: TW: The 'real' me inside - I come with an SI warning

hey @AlwaysMyself i like what you said in your other post, about sometimes empathy requiring 'hard love' too. it really does sometimes! there's been times i've extended my patience for someone and tried giving them multiple chances, but it wasn't until my final button was pushed that i said it was enough. sometimes finding that balance between being empathetic but doing what's right for us can be hard - especially when it comes to our loved ones. it goes to show that you have a really big heart.

also saw your recent post, sorry to hear things are overwhelming at the moment. reaching out to a safe haven sounds like a good option too, hope the counselling session went ok? please do take care. we're here for you 💗

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